| NPI | 1104480946 |
|---|---|
| Doing Business As | FHCSD-HEALTH HOMES |
| Entity Type | Organization |
| Authorized Contact | RICARDO ROMAN Chief Financial Officer 619-515-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-02-20 |